| Stages Of Change Psychotherapy Pllc | |
|
5350 Tomah Dr Ste 1100 Colorado Springs CO 80918-6902 | |
| (719) 466-6854 | |
| (719) 213-2459 |
| Full Name | Stages Of Change Psychotherapy Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5350 Tomah Dr Ste 1100, Colorado Springs, Colorado |
| Authorized Official Name and Position | Erica Leigh Adkins (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7194666854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stages Of Change Psychotherapy Pllc Po Box 3002 Fort Leavenworth KS 66027-0002 Ph: (719) 466-6854 | Stages Of Change Psychotherapy Pllc 5350 Tomah Dr Ste 1100 Colorado Springs CO 80918-6902 Ph: (719) 466-6854 |
| NPI Number | 1245661917 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 3375771926 |
|---|---|
| Medicare Enrollment ID | O20140106001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245661917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3843 (Colorado) | Primary |
| 103T00000X | Psychologist | 6786 (Ohio) | Secondary |
| Provider Name | Erica Leigh Adkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669800124 PECOS PAC ID: 4284862830 Enrollment ID: I20140121002016 |
| Provider Name | Phyllis G Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720068505 PECOS PAC ID: 7719104470 Enrollment ID: I20140805000138 |
| Provider Name | Sheri Rockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902322852 PECOS PAC ID: 5294093894 Enrollment ID: I20180102001908 |
| Provider Name | Sarah Foxley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346639911 PECOS PAC ID: 0143580472 Enrollment ID: I20180207000494 |
| Provider Name | Christine M Hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801167903 PECOS PAC ID: 8325383243 Enrollment ID: I20181221000748 |
| Provider Name | Kimberly Christine Koessel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609122365 PECOS PAC ID: 0446593552 Enrollment ID: I20190513001294 |
| Provider Name | Lori Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952924151 PECOS PAC ID: 0345666558 Enrollment ID: I20200819000989 |
| Provider Name | Jessica Mamula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679043319 PECOS PAC ID: 3971849399 Enrollment ID: I20220204002263 |
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